Individual
GARRETT BLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1391 E HIGHLAND AVE STE 103, SELMA, AL 36703-3204
(334) 875-6110
Mailing address
1391 E HIGHLAND AVE STE 103, SELMA, AL 36703-3204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2-0942
AL
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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